EASTSIDE HORSE RIDING ACADEMY
“D” Pavilion, Centennial Parklands Equestrian Centre
Paddington NSW 2021 - 02 9360 7521
HORSE RIDING IS A DANGEROUS ACTIVITY
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I understand and acknowledge that horse riding is a dangerous activity and that horses can act in a sudden and unpredictable (changeable) way, especially if frightened or hurt.
I understand that serious INJURY OR DEATH may result from horse riding activities including this ride. I agree that I RIDE at MY OWN RISK. I am aware that there is to be no cantering on the track.
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The escort rider or instructor has the authority to demand that any rider bringing danger to the horse, him/herself, or any other riders will dismount immediately. Any refusal will result in the CANCELLATION of my riding fee and my immediate removal from my horse NO MATTER what may occur. In the event of any accident that may occur I shall not hold Eastside Horse Riding Academy or its agents responsible.
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If I ride unescorted it is at MY OWN RISK at all times and Eastside Horse Riding Academy or it agents will not be held liable for any accident/injuries.
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I agree that I will wear a helmet and that must not remove it until I am off the horse.
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I agree not to drink alcohol or take drugs prohibited by law before or during this ride.
Permission for photography
I hereby give permission for my son/ daughter/myself to be photographed / filmed and for the images to be used in any Eastside Horse Riding Academy publications, both print and electronic, and promotions in the media.
RIDERS PARTICULARS
Please state any injuries or illnesses, which could affect the Rider’s ability, safety or health.
NAME (of rider)………………………………………………………….DATE………………………...
ADDRESS………………………………………………………PHONE………………………………..
EMAIL ADDRESS (Please print clearly)……………………………………………...
Ridden 0-10 times Ridden 11-20 times Ridden 21-50 times Ridden 51-100 times Ridden 101+ times
I understand that my signature to this document constitutes a complete and unconditional release of all liability of the proprietors of Eastside Horse Riding Academy and its employees and agents to the greatest extent allowed by law in the event of me and /or the children under my care, suffer injury or death.
Signature of Rider (Parent or Guardian)………………………………. Date……………..
Horse Ridden………………….
Duty of Proprietors of Eastside Horse Riding Academy
The proprietors of Eastside Horse Riding Academy will exercise due care and skill in providing each rider with a suitable horse and will conduct the ride keeping in mind the welfare and safety of the rider. (Section 74 Trade Practices Act)
Signature of Proprietor………………………………. Date……………..
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